HomeMy WebLinkAbout2012-01237 - plumbing �' " �� � � CITY OF ORONO
2750 KELLEY PARKWAY * � 0 1 2 0 1 2 3 7 *
DATE ISSU D: 12/13/2012
' ORONO,MN 55356-
(952) 249-4600 FAX: (952)249-4616
ADDRESS : 2670 KELLEY PKWY � 2/�
PIN : 33-118-23-12-0064
LEGAL DESC : STONEBAY OF ORONO CONDOMINIUM
: LOT 000 BLOCK 000
PERMIT TYPE : PLUMBING(>$500)
PROPERTY TYPE : RESIDENTIAL
CONSTRUCTION TYP� : FIXTURES-MULTIPLE
NOTE: LJNIT216
2 WC,3 LAV, 1 TUB, 1 SHq WER, 1 KITCHEN SINK, 1 DISPOSAL, 1 DISHWASHER, 1 WASHER
VALUATION OF PLUM$ING 4000
A PLICANT PLUMBING FIXTURE FEE 50.00
AMERICAN MECHANI AL CO,INC. STATE SURCHARGE PLBG(VALUATION) 2.00
7120 71ST AVE.N.
PO BOX 205 TOTAL 52.00
LORETTO,MN 55357- I
(612)750-0278
OWNER
Citizens Independent Bar�k
5000 36TH ST W
ST LOUIS PARK,MN 5�416-
AGREEMENT A�TD SWORN STATEMENT
The work for which this permi is issued shall be performed according to
the approved plans and specifi�ations,applicable City approvals,and the
State Building Code. This pe it is for only the work described and does
not grant permission for addit' nal or related work which requires sepazate
permits. All provisions of law and ordinances governing this type of work
shall be compied with whethe or not specified herein.This permit will
expire and become null and vc�id if construction authorized is not
commenced within 180 days qf the date of issuance,or if construction is
suspended for a period of 180�days at any time after work has commenced.
The applicant is responsible f r assuring all required inspections are
requested in conformance wit�the State Building Code.This permit may be
revok any time for due c�use.
� �� /1 /��. / /
Applicant Permitee Signa re Date Issued By Si ature Date
S PARATE PERMITS REQUIRED FOR WORK OTHER THAN DESCRIBED A VE.
12/1 12012 03:35 FA� 7634775629 f�0021004
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•. • .•'..�'�'OR� . : :USI�'ONLY
r�F'�-�• City Of OI'Ono ....... .. ' a�0/� ��3�
���"� '4� P.O.Box 64 :�epa'iteGented> - - .. -.'•Nerniic�#'
275Q Kelley PodcwaY � .,.,�: ... •�':': ",�imouM S'J°7.
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� �+��• ' �� Cryetnl 13sy.MN 55323 . . . �
.�"��t��o�'�' (95Z)249-d�b-Fau1n
>,.+sa�„
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�"`�-� CITY OF ORONO-PLUMBING PERMI
(A�II Commercial Permits Nlust be Approved by thc State Prior to City Approval)
htc :/lwww li.mn. m�CC D!P F/ umb anrcvn • ��
GENL L iNFORIvtA;TI�]�I �� �� �
� t. l�ou m3y aPp�Y for plumbing parmits bY mail or in person ai th�City officos. Applicatipns wil be
rOviewed an�a permit wi11 be issued within two working�Ys-
?. I�ermit Cards wi11 be sent by return mail after a mview is compisted. PERIIRTS�►RF N�F
WA1..ID UNTIL YOU ttECLIVE A PERMIT. W R U NO B IN NTI
�,RMiT AR IS S O TH O S1T . oWn rs
3. ,lumbing p�rn�its may be issuedflN�Y to��consed plu►nbing convactors and m prop�Y
q�siding in the dwelling.
4. 1JJlien any new con�truc�ion or remodeling is invoivcd,a scpnrat�building pennit must be
ab�aincd.
i.. . ,��.;,- �_ �� �tll work�mast.�¢e-dqne in aecordance with S[ate Codarequir�ments. ,,,,,,,- ,^^;
6. All wark must be inspected and air te�ted bcf°�rt�g°°�e�d. C,sll(952)249-4600.
I(2Q-48 I�our noticc requlred)
� �Tl�'�PL�Q�'�F�R1k�1'F. . . . _ _ _ _,_ _. _ . .. _
���lt�cl�A11�Tti���4� }:.��
�Ro$idcntial � ❑Comm�'�isl(APP*oval Required)
Ite irs ❑Replace
� N�N, ❑Atlditional ❑ P�
❑ I��Aocessory SCructure? � t.er 7g,Article 1V)
*You will nced nrioc nn�rovwl and.may need�•(Yer Orono City Code,Chap
Job Syte/Owner Irrformatian:',� . ; � . .
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Site �.ddress: � `
Mailing Address:
Qwn�r: .
City:l 7ip:
Homle Phone: ' Alternate Phone:
rCon ractor lnfor•ma[ion: �
L�._..—^— —
I ' ntact 1'erson: `�� �°��
COntractor- ' •�'� C�
I . G�� Statc Band#: �
Address: 3
�t ZiP��'''' Expiration Date: J3�! �
City:
1'honc: � �d r.
Alternate Phone: ���
❑ Insurance–Current: -
1 .
12/12 2012 03:35+FA� 7634775629 f�0031004
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riXTUK� BSMT 1 2 O'R�IER Tt�TURE asMT I 2 OT ER
TYPE FL EL F[. Fl.
Watcr[�I�szt � Floor Drains
I.avatary I
5ewer Fjectvt
Bathtub i �
Laundry 7�cay
Shower I Washer
r Wat�r Hcater
I Kitchep�ink I
� Disposal I Water Softener
•I r' 7 i^��n/\1 r n. '1. �^ rt n— . '�(�il n f�A
:� .
�)ishwashcr ��B�
(
Silicocks Miscell�neous
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❑ Yes.this seclian applics
'('he replacement of unly otle Ltesl enti fixtu or li chat meets all three of the followin�
requir�mdnts:
I, Doe�rcquire modification to electrieal or gas servica
I2. Has a tot I ws of SS00.00 or less; c 'n che cost of the fixture o�app�iance:And
3. Is improved,in5talled or replaced by the homeowner or licensed plumbing contractor.
Cosl of Permit $ 15. 0
$kip next seclion,if this Applies; S�te Surcharge $ 5 0
Mail-in Pce(lf Applic�ble) $ 2� �
Total Permit Fee $
(pc�lm;t Fees Continued On Ne:t Psge)
2
. , 3 FAx ��347�fi629
1211212012 �03� ..
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' � uidclines below: ►nim�m F�o�$50.00)
• , ..• �ot aPP�Y;fulloW� riu w ith a�M� ��
l F ebove docs p � �i�1�,�/a of aon�p
� �, �CON K.p� ,� � x.0125$_.•�m Imum 55o.Do-
I I ��ncnc[Pricel
,I �p
� , '/phh� _X.�005 $�
� � S 1 A S iC ARG LJ(�i�
Z• ��o►n`ec v�0 �00
1 I � lications) �'
L�G,(Only on M��'In ADP � �
gl ppSTAGE&H�� $
� I Lines 1-3 Abm+a) . tha
,�. 70TAL PE�1T FEE(P►dd ; e,timatcd d�11�' �rnount charg�'FO .
s the t�� °; it is�B amount to bc ch gb ,E;,,a � . , ,
I ��� COST mean furn►sh
PR►� or]OB rofi��►�other fxed���r-iwsta11�1ons are addcd. 2__
� C��.tT1ZACT labor.P �e __�._,_,. . �._
� matcri�g• ��al.oquiDment,�a�'gucb itoms muat b�
� ecdiittcd tno a�+n�
p �of.toi��wo�rk dene. ��BroAsonabl8 ma�°c value of• �,�there is a d�spute n��e
�I�:;'� ; ' ! W c e ewoc> otbor p+►dY• pf ihe actua► traCt.
tonsnt or spY a��for potts�lt teo putpos�s. ln thc o�tt+t
�he ow��er• ma ��u�t�c submission of n signed�pY
�g�matcd cost or co�
armourt of the Job co t.the City y
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' Permit, aSrees do all
' a �1�to the Ciry for issuance of a Plumbing u'�L10� of the tate of
Thel�mdccsigned hereby PP, and the Ce� �ete, rue and
v�nth the ordinances °f on this aPPli�tion are cvmp
work in strict accordance ements made
[viii nesola. and ccr���ies that all stat
, co�ect-
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Da�:�1�•" I�
A�p�,�ant's Signature.
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DATE TIME
CITY OF ORONO CALLED IN
INSPECTION NOTICE SCHEDULED
PERMIT NO.��3'���� coMP�FrE� /-�-/�
ADDRESS a6�o /��//a�. I���y�
OWNER TELEPHONE NO.
CONTRACTOR ��B���rt �P�
� DESCRIPTION �`"�4• ���Gs ' Sv'�� � �'' ���
ll� ❑ FOOTING ❑ DEMO-FINAL ❑ SEPTIC FINAL
Q ❑ POURED WALL ❑ PLUMBING RI ❑ EXCAV/GRADING/FILLING
Q ❑ FOUNDATION WATERPROOF ❑ PLUMBING FINAL ❑ TREE REMOVAL
Z ❑ RADON SLAB ❑ MECHANICAL RI ❑ SITE INSPECTION
Q ❑ FRAMING ❑ MECHANICAL FINAL ❑ RATED WALLS
� ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ COMPLAINT
Q ❑ FINAL ❑ WATER HOOK-UP �LOW-UP
� ❑ AS BUILT-SURVEY ❑ SEWER HOOK-UP ❑ FOUNDATION/REMOVAL
J ❑ DEMO-SITE ❑ SEPTIC INSTALL
� OWNERICONTRACTOR TO MEET YOU:_YES_NO
� COMMENTS: �7�e5� •�►«.� s �.rr-�eO k�
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� ❑WORKSATISFACTORY:PROCEED �OJECTCOMPLEfE
W ❑CORRECT WORK&PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY
0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY
V BEFORECOVERING PERMANENT
❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑ pHOTO TAKEN
INSPECTOR WILL REfURN
❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED
❑INSPECTION REQUIRED.CALLTO ARRANGE ACCESS.
Ca11 for the next inspection 24 hours in advance. (952� 249-4600
OwnerlContractor on site:
Inspector. I v�-�
White Copyllnspector's File Canary CopylSite Notice